Laserfiche WebLink
<br />APPLI:CATI:ON FOR PBmaT <br />CI:TY or ZKPHYlUfI:LLS <br />BUI:LDI:NG DKPAll'l'ldBNT <br /> <br />4~' <br />DAB lUICJIlI:VBD J. ; r - ..;"''': <br />PLANS RJ:VI:D I'D <br /> <br />OWNER'S NAME rJ):.- /VI {l\J '~L (. i.- .A /) U /If (j II j1 PHONE \ I 3 -7\' 'J - {t.> 7 ~:> <br />JOB ADDRESS H E'~ r y If C { ....l-i c...' P A (71,.Ii Lt. r " ~~ <br />LEGAL DESCRIPTION: LOT (S) 1 ~ BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br />\1CiiAlrr: s+lt () <br />~ ADDITION OALTERATION 0 REPAIR 0 INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />{; )( t-. <br /> <br />SQUARE FOOTAGE <br /> <br />-;,/ <br />HEIGHT ~ <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />/::1 <br />A' /PfJ/Z--- <br /> <br />/.' (/, <br />l/ '1.,., ~'i/~ .tt.? <-. <br />;,...v-v .,; <br />,.;, <br /> <br />o~ <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />OGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />Im~mlml!lmlmllllilml!II!!lmllmm!lliililliillll!i!m!mm[timllilmmmmmm - - - - ~ - - ~.. l!liiiiiiiji!imi!imil!!i!il!I!I!!!I!ilil!I!llimlm!~~milmmmmmmmmmmml! <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUI:LDD <br />SIGNATUR~~""" V~o/) <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BLBCTlUCI:AN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUHBBP. <br /> <br />***********~****************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MBCIlANI:CAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />0TIIBl\ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />